| Perinatal complications in group B streptococcal carriers: a longitudinal study of prenatal patients. | |
| | |
MedLine Citation:
|
PMID: 3883783 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Although prenatal group B streptococcal detection and eradication have been proposed to prevent morbidity, the risk of perinatal complications in prenatal carriers of group B streptococci has not been defined. We evaluated 718 prenatal patients with serial cultures to compare morbidity in carriers and noncarriers. Complications occurring more frequently (p less than or equal to 0.05) in prenatal carriers were: collective morbidity, low birth weight, and premature rupture of membranes associated with low birth weight. Maternal pelvic infection and neonatal sepsis were increased in colonized women at delivery but not in prenatal carriers. Ninety-two percent of colonized women were not delivered of low birth weight infants. No carriers delivered vaginally or by repeat cesarean section became infected. Neither inoculum size nor chronic carriage was related to morbidity. The predictive value of a positive prenatal culture did not exceed 8% for any of the complications. We concluded that overall morbidity in carriers of group B streptococci is greater than in noncarriers; however, the risk for specific complications is too low to justify routine testing for detection of group B streptococci until prospective study demonstrates the value of such programs. |
| | |
Authors:
|
J R Bobitt; J D Damato; J Sakakini |
Related Documents
:
|
18036763 - Animal models of neonatal stroke and response to erythropoietin and cardiotrophin-1. 2704493 - Multiple gestation complicated by the death of one fetus. 23600323 - Experiences of birth and breastfeeding following assisted conception. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: 151 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1985 Mar |
Date Detail:
|
Created Date: 1985-04-25 Completed Date: 1985-04-25 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 711-7 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Carrier State
/
microbiology* Cesarean Section / adverse effects, mortality Female Fetal Membranes, Premature Rupture / etiology Humans Infant, Low Birth Weight Infant, Newborn Longitudinal Studies Obstetric Labor Complications / microbiology, mortality Pelvic Inflammatory Disease / etiology Pregnancy Pregnancy Complications, Infectious / microbiology* Streptococcal Infections / etiology, microbiology* Streptococcus agalactiae Vaginal Smears |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endotoxemia in the neonatal lamb.
Next Document: Cefotaxime treatment for women with community-acquired pelvic abscesses.